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照顾者掌握量表在后天性脑损伤患者的配偶中的验证研究。

A validation study of the Caregiver Mastery Scale for partners of patients with acquired brain injury.

机构信息

1 Center of Excellence in Rehabilitation Medicine, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.

2 De Hoogstraat Rehabilitation, Utrecht, The Netherlands.

出版信息

Clin Rehabil. 2018 Apr;32(4):493-500. doi: 10.1177/0269215517732821. Epub 2017 Sep 28.

Abstract

OBJECTIVE

To validate the Caregiver Mastery Scale for partners of patients with acquired brain injury.

DESIGN

The score distributions, internal consistency and convergent validity of the Caregiver Mastery Scale were determined.

SUBJECTS

A total of 92 partners (53% male, age 62 years) of patients with acquired brain injury (91% stroke) discharged from inpatient rehabilitation (time since injury 32 months).

MAIN MEASURES

Outcome measure: Caregiver Mastery Scale. Reference measures: Caregiver Strain Index, Hospital Anxiety and Depression Scale and CarerQoL.

RESULTS

The Caregiver Mastery Scale has a normal distribution, with no floor or ceiling effects. Its internal consistency is acceptable (Cronbach's alpha: 0.75). The convergent validity analyses confirmed our hypothesis that higher scores on the Caregiver Mastery Scale correlate with less burden, lower levels of anxiety and depression and greater well-being. Furthermore, partners scoring high on the Caregiver Mastery Scale mostly scored below the clinical cut-off scores on the Caregiver Strain Index and the anxiety and depression subscales of the Hospital Anxiety and Depression Scale, whereas partners scoring low on the Caregiver Mastery Scale were more likely to score above the cut-off points.

CONCLUSION

The Caregiver Mastery Scale is a valid instrument to assess the caregiver mastery of partners of patients with acquired brain injury.

摘要

目的

验证配偶为后天性脑损伤患者的照料者掌控量表。

设计

确定照料者掌控量表的分数分布、内部一致性和收敛效度。

对象

共 92 名后天性脑损伤(91%为中风)患者的配偶(53%为男性,年龄 62 岁),他们从住院康复中出院(受伤后时间为 32 个月)。

主要观察指标

结局指标:照料者掌控量表。参考指标:照料者负担量表、医院焦虑抑郁量表和照顾者生活质量量表。

结果

照料者掌控量表呈正态分布,无地板效应或天花板效应。其内部一致性可接受(Cronbach's alpha:0.75)。收敛效度分析证实了我们的假设,即照料者掌控量表的得分越高,负担越轻,焦虑和抑郁水平越低,幸福感越高。此外,在照料者掌控量表上得分较高的配偶,其在照料者负担量表和医院焦虑抑郁量表的焦虑和抑郁分量表上的得分大多低于临床截断值,而在照料者掌控量表上得分较低的配偶,其得分高于截断值的可能性更大。

结论

照料者掌控量表是评估后天性脑损伤患者配偶的照料者掌控能力的有效工具。

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